IndividualActive
Jeffrey Mckenna, MD
NPI 1396713780 · MOHS-Micrographic Surgery Physician · Charleston, IL
Provider details
- NPI number
- 1396713780
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-118958 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Deerpath
Charleston, IL 61920-9427
Phone: (217) 234-8000
Fax: (217) 234-8003
Approximate (ZIP-level) locationGet directions
Mailing address
3024 E Empire St
Bloomington, IL 61704-5402
Additional practice locations (5)
- 3024 E Empire St Ste EandfBloomington, IL 61704-5402Phone: (309) 451-3376Fax: (309) 452-3376
- 600 S 13th StPekin, IL 61554-4936Phone: (309) 693-7788Fax: (309) 452-3376
- 4909 N Glen Park Place RdPeoria, IL 61614-4676Phone: (309) 674-7546Fax: (309) 282-0500
- 920 West St Ste 212Peru, IL 61354-2769Phone: (815) 842-4000Fax: (815) 223-8736
- 530 Park Ave E Ste 204Princeton, IL 61356-3902Phone: (815) 842-4000Fax: (309) 452-3376
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.